WO2013003746A1 - Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system - Google Patents
Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system Download PDFInfo
- Publication number
- WO2013003746A1 WO2013003746A1 PCT/US2012/044989 US2012044989W WO2013003746A1 WO 2013003746 A1 WO2013003746 A1 WO 2013003746A1 US 2012044989 W US2012044989 W US 2012044989W WO 2013003746 A1 WO2013003746 A1 WO 2013003746A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- force
- suture
- anchor
- input
- inserter
- Prior art date
Links
- 0 C[C@](CC1CC1)C1*CCC1 Chemical compound C[C@](CC1CC1)C1*CCC1 0.000 description 4
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0467—Instruments for cutting sutures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1604—Chisels; Rongeurs; Punches; Stamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1664—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip
- A61B17/1666—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip for the acetabulum
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1742—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip
- A61B17/1746—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip for the acetabulum
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0409—Instruments for applying suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0412—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from suture anchor body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/042—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion
- A61B2017/0422—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion by insertion of a separate member into the body of the anchor
- A61B2017/0424—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion by insertion of a separate member into the body of the anchor the separate member staying in the anchor after placement
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
- A61B2017/0458—Longitudinal through hole, e.g. suture blocked by a distal suture knot
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/037—Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter
Definitions
- the pathways for entering the interior of the hip joint i.e., the natural pathways which exist between adjacent bones and/or delicate neurovascular structures
- the pathways for entering the interior of the hip joint are generally much more constraining for the hip joint than for the shoulder joint or the knee joint. This limited access further complicates effectively performing minimally-invasive procedures on the hip joint.
- Figs. 75-79 are schematic views showing another form of the present invention, wherein the force delivery mechanism comprises a spooling force delivery mechanism (note that in Figs. 75-79, only one suture strand is shown for clarity of illustration);
- cylindrical body 35 may be controlled by the number and location of the longitudinally-extending slits 75, the configuration of enlargement 100, the configuration of generally cylindrical body 35 (e.g., its lumen 50 and the associated side wall of the cylindrical body 35 adjacent the lumen), etc.
- enlargement 100 can be formed out of a single knot or multiple knots. It can be an overhand knot or other knot such as a "Figure 8" knot. Suture 15 can also be heat formed so as to create the enlargement 100. This will create a more rigid feature that better enables movement of enlargement 100 from its distal position to its more proximal position. Such heat forming could also be done on a knot or to seal the suture ends distal to the knot.
- a wishbone force delivery mechanism 300 which is force-limiting so as to provide for the controlled delivery of an actuation force to an anchor, e.g., to the thicker proximal suture 105 of anchor 10.
- Wishbone mechanism 300 is intended to be incorporated into the handle 125 of the inserter 20 discussed above, which may cause handle 125 to take on a modified configuration from that previously shown.
- wishbone mechanism 300 generally comprises a handle
- the force-limiting (force-controlling) mechanism may comprise the double wedge mechanism 435 shown in Figs. 80 and 81.
- This double wedge mechanism uses two spring-loaded wedges 440 to hold cleat 315 to finger pull 325 as force is applied to finger pull 325, whereby to apply force to the thicker proximal suture 105 secured to cleat 315.
- the force-limiting mechanism may comprise the suture cutting mechanism 445 shown in Figs. 82 and 83.
- This suture cutting mechanism 445 allows the user to apply a force to the thicker proximal suture 105 and then, when the pre-determined maximum level of force is reached, the proximal end of the suture is cut by a blade 450 that is positioned on finger pull 325. Cutting of the thicker proximal suture 105 disables the force delivery mechanism and terminates tension on the suture.
- springs 470 keep platform 465 biased proximally, away from finger pull 325, and so as to keep suture segment 473 spaced from cutter blade 450.
- the power of springs 470 is overcome and the gap between finger pull 325 and platform 465 closes so that cutter blade 450 engages the suture segment
- anchor 10 may be placed directly into the acetabular bone, without passing through the labrum first, and then suture 15 may be passed through the labrum.
- suture anchor system 5 may remain the same.
Abstract
Description
Claims
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU2012275207A AU2012275207B2 (en) | 2011-06-29 | 2012-06-29 | Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system |
CN201280042511.9A CN103917183A (en) | 2011-06-29 | 2012-06-29 | Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system |
CA2839629A CA2839629A1 (en) | 2011-06-29 | 2012-06-29 | Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system |
EP12803776.9A EP2726001A4 (en) | 2011-06-29 | 2012-06-29 | Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system |
AU2017200032A AU2017200032B2 (en) | 2011-06-29 | 2017-01-04 | Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201161502621P | 2011-06-29 | 2011-06-29 | |
US61/502,621 | 2011-06-29 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2013003746A1 true WO2013003746A1 (en) | 2013-01-03 |
Family
ID=47424566
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2012/044989 WO2013003746A1 (en) | 2011-06-29 | 2012-06-29 | Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system |
Country Status (7)
Country | Link |
---|---|
US (3) | US9101355B2 (en) |
EP (1) | EP2726001A4 (en) |
JP (1) | JP2014529307A (en) |
CN (1) | CN103917183A (en) |
AU (2) | AU2012275207B2 (en) |
CA (1) | CA2839629A1 (en) |
WO (1) | WO2013003746A1 (en) |
Cited By (3)
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EP2796097A3 (en) * | 2013-04-24 | 2015-06-24 | DePuy Mitek, LLC | Devices, systems, and methods for suture management |
EP3113691A4 (en) * | 2014-03-05 | 2017-11-15 | Cayenne Medical, Inc. | All-suture suture anchor systems and methods |
JP2019037842A (en) * | 2013-07-10 | 2019-03-14 | スミス アンド ネフュー インコーポレーテッドSmith & Nephew,Inc. | Distal tip two piece external expansion anchor |
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AU2010218061B2 (en) * | 2009-02-24 | 2015-11-26 | Smith & Nephew, Inc. | Methods and apparatus for FAI surgeries |
US10238379B2 (en) | 2009-07-17 | 2019-03-26 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
US11197663B2 (en) | 2009-07-17 | 2021-12-14 | Stryker Puerto Rico Limited | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
US9149268B2 (en) | 2009-07-17 | 2015-10-06 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
US10426456B2 (en) | 2009-07-17 | 2019-10-01 | Pivot Medical, Inc. | Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system |
US10058319B2 (en) | 2009-07-17 | 2018-08-28 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system, including a novel locking element |
US10136884B2 (en) | 2009-07-17 | 2018-11-27 | Pivot Medical, Inc. | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system, including a retractable sheath |
US9179905B2 (en) | 2009-07-17 | 2015-11-10 | Pivot Medical, Inc. | Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system |
US11246585B2 (en) | 2009-07-17 | 2022-02-15 | Stryker Puerto Rico Limited | Method and apparatus for attaching tissue to bone, including the provision and use of a novel knotless suture anchor system |
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Also Published As
Publication number | Publication date |
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AU2017200032B2 (en) | 2019-08-15 |
JP2014529307A (en) | 2014-11-06 |
US20200022693A1 (en) | 2020-01-23 |
US20130006276A1 (en) | 2013-01-03 |
US11517300B2 (en) | 2022-12-06 |
CA2839629A1 (en) | 2013-01-03 |
AU2012275207A1 (en) | 2014-02-20 |
AU2017200032A1 (en) | 2017-02-02 |
US20160100832A1 (en) | 2016-04-14 |
CN103917183A (en) | 2014-07-09 |
US9101355B2 (en) | 2015-08-11 |
US10363025B2 (en) | 2019-07-30 |
EP2726001A4 (en) | 2015-08-12 |
EP2726001A1 (en) | 2014-05-07 |
AU2012275207B2 (en) | 2016-10-06 |
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